Raphaelson M A, Alpher E J, Bakker K W, Perlstrom J R
Greater Washington Sleep Disorders Centers, Rockville, Maryland 20850, USA.
Cranio. 1998 Jan;16(1):44-50. doi: 10.1080/08869634.1998.11746037.
Six patients diagnosed with obstructive sleep apnea completed titration of an adjustable oral appliance, called the Silencer, during a single night of polysomnography. This protocol allowed for rapid titration of the oral appliance and effective treatment of sleep apnea. Variables which showed improvement included frequency of obstructive events, oxyhemoglobin saturation and snoring. Dental appliance adjustments with the silencer device can be made within three minutes. We have demonstrated that incremental mandibular advancement and repositioning allow us to determine the most effective jaw position to treat sleep apnea and snoring, which is also most likely to be tolerated by the patient.
六名被诊断为阻塞性睡眠呼吸暂停的患者在一晚的多导睡眠监测期间完成了一种名为Silencer的可调节口腔矫治器的滴定。该方案允许对口腔矫治器进行快速滴定并有效治疗睡眠呼吸暂停。显示出改善的变量包括阻塞性事件的频率、氧合血红蛋白饱和度和打鼾。使用Silencer装置进行牙齿矫治器调整可在三分钟内完成。我们已经证明，下颌渐进性前移和重新定位使我们能够确定治疗睡眠呼吸暂停和打鼾的最有效颌位，而这也是患者最有可能耐受的位置。
